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General NPI Number Information
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NPI Number | 1023426798
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Entity Type | Organization
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Legal Business Name | D L STORY & ASSOCIATES PLLC
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Dates
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Enumeration Date | 07/25/2014
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Last Update Date | 07/25/2014
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Provider Practice Location Address
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Address Line | 508 N MAIN ST P.O. BOX B
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City | WINTON
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State | NC
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Zip | 27986-9624
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Country | US
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Telephone | 252-358-0144
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Fax |
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Provider Business Mailing Address
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Address Line | 508 N MAIN ST P.O. BOX B
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City | WINTON
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State | NC
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Zip | 27986-9624
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Country | US
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Telephone | 252-358-0144
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DEBORAH L STORY
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Credential | PSY.D.
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Telephone | 252-358-0144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 3109
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License Number State | NC
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